Wardell, Jason H

Wardell, Jason H is an individual health care provider with primary practice located at 10301 Kanis Rd , Little Rock AR 72205-6205. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Wardell, Jason H can be contacted via phone (501) 604-6900.

Contact Information

Primary practice address
10301 Kanis Rd Little Rock AR 72205-6205
Phone: (501) 604-6900
Fax: (501) 604-6941
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA235 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA235 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA235 Arkansas

Profile Details

NPI number 1396709150
LBN Legal business name Wardell, Jason H
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Feb 3rd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396709150 NPPES
Arkansas MEDICAID 204192795

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